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NCCT Phlebotomy Tech Review Quiz

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Quiz on NCCT Phlebotomy Tech Review Quiz, created by jRoxy13 on 02/05/2014.
jRoxy13
Quiz by jRoxy13, updated more than 1 year ago
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Created by jRoxy13 almost 10 years ago
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Resource summary

Question 1

Question
What is the most important venipuncture step?
Answer
  • Collecting the specimen
  • Positioning the patient
  • Selecting supplies
  • Identifying the patient

Question 2

Question
Which test is time-dependent?
Answer
  • Glucose
  • Cholesterol
  • Bilirubin
  • Potassium

Question 3

Question
Which sterilizer is used for blood cultures?
Answer
  • Alcohol
  • Lidocaine
  • Bacitracin
  • Chlorhexidine

Question 4

Question
What is the most commonly used vein?
Answer
  • Median cubital
  • Cephalic
  • Radial
  • Basilic

Question 5

Question
A hemogram is drawn in which color tube?
Answer
  • Lavender top
  • Green top
  • Blue top
  • Red top

Question 6

Question
Why is disposable equipment used?
Answer
  • To reduce the spread of infection
  • It's inexpensive
  • For variety
  • To take up less space

Question 7

Question
The venipuncture site is cleansed with 70% _____.
Answer
  • iodine
  • water
  • isopropyl alcohol
  • betadine

Question 8

Question
Which needle has the smallest diameter?
Answer
  • 20-gauge
  • 23-gauge
  • 18-gauge
  • 21-gauge

Question 9

Question
Which cells transport oxygen to the tissues?
Answer
  • White blood cells
  • Red blood cells
  • Platelets
  • Squamous cells

Question 10

Question
How long can a tourniquet remain on the arm?
Answer
  • 1 minute
  • 2 minutes
  • 5 minutes
  • 10 minutes

Question 11

Question
Specimens need to be shipped in what type of container?
Answer
  • Watertight
  • Paper
  • Egg crate
  • Plastic

Question 12

Question
Where can a patient acquire a nosocomial infection?
Answer
  • At work
  • At the doctor's office
  • In the hospital
  • At home

Question 13

Question
Specimens used as criminal tracking evidence are called _____.
Answer
  • privileged
  • private
  • chain of custody
  • bad

Question 14

Question
The process of killing all microorganisms in an area is called ______.
Answer
  • cleaning
  • sterilization
  • autoclaved
  • disinfection

Question 15

Question
Which body system regulates water balance and blood pH?
Answer
  • Urinary
  • Cardiovascular
  • Respiratory
  • Digestive

Question 16

Question
Which element is bound by EDTA to prevent clotting?
Answer
  • Calcium
  • Potassium
  • Magnesium
  • Sodium

Question 17

Question
Blood cultures require which samples for collection?
Answer
  • anaerobic/aerobic
  • aerobic/saline
  • CO2/saline
  • anaerobic/CO2

Question 18

Question
Which is not a VAD device?
Answer
  • PICC line
  • central venous line
  • shunt
  • sphygmomanometer

Question 19

Question
What can reduce pain at the venipuncture site?
Answer
  • EMLA
  • A tighter tourniquet
  • Warm water
  • Topical antiseptic

Question 20

Question
What site would be preferred with an open IV?
Answer
  • In the IV tubing
  • Above the IV
  • Below the IV
  • It cannot be done

Question 21

Question
All chemical supply manufacturers must provide this with their products?
Answer
  • Material Safety Data Sheets (MSDS)
  • Free disposal
  • Warning signs
  • Product pricing

Question 22

Question
Which body system is involved with breathing?
Answer
  • Respiratory
  • Nervous
  • Digestive
  • Cardiovascular

Question 23

Question
The heart is part of which body system?
Answer
  • Skeletal
  • Cardiovascular
  • Muscular
  • Integumentary

Question 24

Question
Which national organization recently changed its name to CLSI?
Answer
  • OSHA
  • NCCLS
  • ASCP
  • JCAHO

Question 25

Question
What does QNS mean?
Answer
  • Not enough specimen
  • Hard draw
  • Patient was insulting
  • Test ordered wrong

Question 26

Question
The lab test for extrinsic function is ____.
Answer
  • partial thromboplastin time (PTT)
  • prothrombin time (PT)
  • platelet function time (PFT)
  • lupus anticoagulation (LA)

Question 27

Question
Which tube is used when drawing alcohol specimens?
Answer
  • Plain red top
  • EDTA
  • Sodium fluoride
  • Sodium citrate

Question 28

Question
Tiny clots in additive tubes are due to ______.
Answer
  • a traumatized draw
  • not enough specimen
  • insufficient mixing
  • centrifuging too long

Question 29

Question
Which has the highest occurrence in healthcare?
Answer
  • Hepatitis B
  • HIV
  • Hepatitis C
  • TB

Question 30

Question
The process where an area becomes unclean is called _____.
Answer
  • sterile
  • contaminated
  • prepped
  • good enough

Question 31

Question
The most common nosocomial infection is ______.
Answer
  • urinary tract
  • dermal
  • respiratory
  • surgical

Question 32

Question
Grey tubes have which additive?
Answer
  • EDTA
  • Sodium citrate
  • Sodium fluoride
  • SPS

Question 33

Question
Tubes without an additive are what color?
Answer
  • Lavender top
  • Blue top
  • Green top
  • Red top

Question 34

Question
Skin punctures on adults are performed on which finger(s)?
Answer
  • First finger
  • Heel or foot
  • Third or fourth finger
  • Second finger

Question 35

Question
What is the most frequently used needle gauge?
Answer
  • 21
  • 18
  • 23
  • 16

Question 36

Question
The smallest human veins are called ________.
Answer
  • capillaries
  • arteries
  • venules
  • arterioles

Question 37

Question
The smallest human arteries are called _______.
Answer
  • capillaries
  • arteries
  • venules
  • arterioles

Question 38

Question
If a hematoma starts to form, what should you do?
Answer
  • Finish drawing, not to worry
  • Release tourniquet, remove needle, apply pressure
  • Apply pressure above site
  • Reposition needle

Question 39

Question
A protime is collected in what color tube?
Answer
  • Red top
  • Green top
  • Lavender top
  • Light blue top

Question 40

Question
AIDS stands for ______.
Answer
  • auto immune deficiency symptom
  • acquired immune disease state
  • acquired immune deficiency syndrome
  • auto inflammation disease state

Question 41

Question
The cellular components of blood are _______.
Answer
  • Red blood cells
  • White blood cells
  • Platelets
  • All of the above

Question 42

Question
When making blood smear slides, what angle works best?
Answer
  • 5 degrees
  • 10 degrees
  • 30 degrees
  • 90 degrees

Question 43

Question
Which color tube needs a 9:1 ratio to be accepted by the lab?
Answer
  • Plain red top - blood bank
  • Lavender top - hematology
  • SST - chemistry
  • Light blue top - coagulation

Question 44

Question
Which drawing method has the highest number of injuries?
Answer
  • Tube holders
  • Winged infusion sets (butterflies)
  • Evacuated draws
  • Capillary draws

Question 45

Question
Which protection works best for blood and skin contact?
Answer
  • Gloves
  • Respirator
  • Gown
  • Mask

Question 46

Question
What patient identification is a must besides name?
Answer
  • Date of birth
  • Diagnosis
  • Address
  • Social security number

Question 47

Question
Which test is used for diabetes mellitus or hyperglycemia?
Answer
  • Glucose tolerance
  • Hemogram
  • Potassium
  • Urinalysis

Question 48

Question
How do you encourage bleeding on an infant heelstick?
Answer
  • An ice pack
  • Multiple punctures
  • Squeezing hard
  • Pre-warming

Question 49

Question
If a patient needs to collect urine for 24 hours, which container would work best?
Answer
  • 2 mL
  • 20 mL
  • 200 mL
  • 2,000 mL

Question 50

Question
Which technique works best if a patient has excessive arm hair or frail skin?
Answer
  • Tie tourniquet over clothing
  • Tie tourniquet tighter
  • Don't use a tourniquet
  • Find a different site

Question 51

Question
The site of a finger stick is cleansed and ______
Answer
  • soaped
  • swabbed with iodine
  • allowed to dry
  • No prep is needed

Question 52

Question
Physician and patient visits are considered privileged, which means ________.
Answer
  • open to anyone
  • not important
  • confidential
  • not available to the patient

Question 53

Question
Which technique will minimize aerosol contamination in the lab?
Answer
  • Keeping the centrifuge lid closed
  • Keeping doors closed
  • Wearing gloves
  • Opening all windows

Question 54

Question
Why is a 2.4 mm lancet not recommended for an infant heelstick?
Answer
  • It can cause injury to the heel.
  • It may not puncture deep enough.
  • It may take multiple tries.
  • It may require you to squeeze harder.

Question 55

Question
Fibrin strands may be caused by _______.
Answer
  • centrifuging at too high a speed
  • centrifuging too long
  • centrifuging before the sample has clotted
  • centrifuging after 2 hours

Question 56

Question
How soon after drawing should mixing begin?
Answer
  • Immediately
  • It's not needed
  • Once all tubes are drawn
  • After sitting

Question 57

Question
Can a phlebotomist draw blood from a patient that refuses?
Answer
  • No.
  • Yes, if a doctor tells them it's okay.
  • Yes, if a nurse tells them it's okay.
  • Yes, there's no choice in the matter.

Question 58

Question
A patient who stays overnight in the hospital is called a(n) _______.
Answer
  • outpatient
  • inpatient
  • resident

Question 59

Question
If you have been vaccinated for Hepatitis B, which would be your next threat?
Answer
  • HIV
  • Hepatitis C
  • H1N1
  • Herpes

Question 60

Question
Which organism can not live in human fluids?
Answer
  • Bacteria
  • Fungus
  • Virus
  • Ticks

Question 61

Question
Why are tourniquets used during a blood draw?
Answer
  • To eliminate pain
  • To locate veins
  • To distract the patient
  • They are not needed

Question 62

Question
Why is protective isolation used?
Answer
  • To protect phlebotomists
  • To protect doctors
  • To protect patients
  • To protect everyone from germs

Question 63

Question
Sterility must be used when handling _____.
Answer
  • IV supplies
  • needle holders
  • lab coats
  • venipuncture trays

Question 64

Question
A glucose meter is used on patients with ______.
Answer
  • diabetes mellitus
  • anemia
  • leukemia
  • arthritis

Question 65

Question
Which is a blood borne pathogen?
Answer
  • Urinary tract infection
  • Strep throat
  • Malaria
  • Influenza

Question 66

Question
Phlebotomists should check blood tubes for _____.
Answer
  • expiration dates
  • faded labels
  • warnings
  • manufacturer's name

Question 67

Question
What do you do if a patient stops breathing while drawing blood?
Answer
  • Keep drawing
  • Stop and call for help
  • Don't worry
  • Shake them awake

Question 68

Question
Which National Fire color and number indicates that a chemical is easily dispersed and will burn?
Answer
  • Blue, 2
  • Red, 4
  • White, 4
  • Yellow, 1

Question 69

Question
Which National Fire color and number indicates that a chemical is easily dispersed and will burn?
Answer
  • Blue, 2
  • Red, 4
  • White, 4
  • Yellow, 1

Question 70

Question
If a patient's bracelet and requisition do not match, what's your next step?
Answer
  • Change the paper to match the bracelet
  • Do not draw until resolved
  • Ask a nurse to identify
  • Ask the patient's roommate

Question 71

Question
If you lower a bed rail to draw a child, what do you do before leaving the room?
Answer
  • Leave it down
  • Return it to the upright position
  • Ask the child which position they prefer
  • Don't worry about it

Question 72

Question
What is the first step after you perform a skin puncture?
Answer
  • Wipe away the first drop
  • Immediately start collecting
  • Make a blood smear just in case
  • Clean with water

Question 73

Question
Which test must be kept warm and delivered directly to the lab?
Answer
  • Cold agglutinin
  • CBC
  • Blood typing
  • Blood gases

Question 74

Question
What is the life span of a red blood cell?
Answer
  • 60 days
  • 120 days
  • 5 days
  • 25 days

Question 75

Question
Why do you need a feathered edge when making blood smears?
Answer
  • It spreads the cells out to a single layer.
  • It helps the slides dry faster.
  • It stains better.
  • It's not necessary.

Question 76

Question
Why does a rubber sleeve cover one side on a multi-sample needle?
Answer
  • It prevents blood from leaking into the holder.
  • It makes tubes easier to push on.
  • It decreases needle sticks.
  • It keeps tubes from being contaminated.

Question 77

Question
For which test does a patient need to be fasting?
Answer
  • Lipid
  • Hemogram
  • Blood typing
  • Potassium

Question 78

Question
Which of these organisms serve as a reservoir host?
Answer
  • Animals
  • Humans
  • Plants
  • All of the above

Question 79

Question
When additive tubes are centrifuged, what is spun to the bottom?
Answer
  • White blood cells
  • Red blood cells
  • Plasma
  • Platelets

Question 80

Question
Phlebotomists should wash their hands _____.
Answer
  • even if gloves are used
  • before collection
  • after collection
  • All of the above

Question 81

Question
What do you do if the collection tube has blood on the outside of it?
Answer
  • Wipe it down with disinfectant
  • Discard the tube and redraw
  • Pour it into a clean tube
  • Don't worry about it

Question 82

Question
Sharps containers must have all of the following features except being _____.
Answer
  • mold proof
  • spill proof
  • puncture proof
  • tamper proof

Question 83

Question
Squeezing the finger too hard can cause false results due to ______.
Answer
  • dilution with tissue fluid
  • bacteria
  • contamination
  • clotting

Question 84

Question
OSHA is required to train staff for all of the following except ______.
Answer
  • identification errors
  • blood-borne diseases
  • needle safety
  • sharps disposal

Question 85

Question
If a patient starts to get raised, red blotches by the tourniquet, what should the phlebotomist do?
Answer
  • Treat it as a possible latex reaction
  • Ignore it
  • Continue to draw
  • Ask the patient if they're okay

Question 86

Question
If blood and urine specimens are lost for 2 weeks, can they still be used?
Answer
  • No
  • Only if you hurry
  • Only if you refrigerate overnight
  • Yes, if run within 24 hours

Question 87

Question
Which is not important when drawing a tube with an additive?
Answer
  • Mixing the tube adequately
  • Filling in order
  • Filling until full
  • Keeping the tourniquet on until the last tube is filled

Question 88

Question
Venipuncture should not be performed on a left arm if ______.
Answer
  • there is an IV running in the left hand
  • there is a full-arm cast
  • there is a recent mastectomy
  • All of the above

Question 89

Question
Treating all specimens as if they are hazardous and infectious is the basis of ______.
Answer
  • universal precautions
  • hazardous control
  • patient education
  • good practice

Question 90

Question
How are slides used to make blood smears disposed of?
Answer
  • Sharps container
  • Regular trash
  • Sealed in biohazard waste
  • Left out on the counter

Question 91

Question
What post-draw technique would you not use after drawing from an ill neonate (baby)?
Answer
  • Label tubes
  • Remove tourniquet
  • Use tape
  • No precautions need to be taken

Question 92

Question
A skin puncture sample is a good choice for testing when _______.
Answer
  • veins are bruised and fragile
  • a large amount of blood is needed
  • multiple tests have been ordered
  • at any time

Question 93

Question
The collection site is cleansed in a circular motion, starting ______.
Answer
  • counter-clockwise
  • from the center to the peripheral edge
  • from the peripheral edge to the center
  • any way

Question 94

Question
Phlebotomists should not draw too much blood from a small baby because the baby could be in danger of _______.
Answer
  • a bad experience
  • becoming anemic
  • needing more blood later
  • No danger

Question 95

Question
Which is not included in the patient bill of rights?
Answer
  • Preferred nurse
  • Refusal of treatment
  • Informed consent
  • Right to know

Question 96

Question
Where is the preferred collection site on an infant heel?
Answer
  • Anywhere
  • Posterior curve
  • Middle of heel
  • Medial or lateral aspect

Question 97

Question
A hemolyzed specimen can be caused by ________
Answer
  • a traumatic venipuncture
  • the wrong tube being drawn
  • failure to mix the tube
  • an overfilled tube

Question 98

Question
What step should a phlebotomist take if they have a needle stick exposure?
Answer
  • Don't worry
  • Tell their supervisor
  • Go home at the end of their shift
  • Ask the patient if they have anything

Question 99

Question
What is the most important information if a patient needs a GTT?
Answer
  • No instructions are needed
  • Eat right before
  • Should be fasting for accurate results
  • No testing is needed

Question 100

Question
What is the first step to take when entering a patient's room?
Answer
  • Introduce and explain
  • Check for a tray table
  • Make sure they are sleeping
  • Don't talk

Question 101

Question
A cholesterol (lipid) is best drawn ______.
Answer
  • right after a big meal
  • while fasting
  • in the afternoon
  • after urinating

Question 102

Question
The artery in the wrist is called the ______.
Answer
  • radial
  • jugular
  • femoral
  • cephalic

Question 103

Question
Which is the least appropriate for an infant venipuncture?
Answer
  • Butterfly (winged infusion set)
  • 15-gauge needle
  • Pediatric tubes
  • 3 cc syringe

Question 104

Question
Centers for Medicare and Medicaid regulates all lab testing in the US through _____.
Answer
  • JCAHO
  • HIPAA
  • ASCP
  • CLIA

Question 105

Question
What does the lab need to know when drawing therapeutic drug levels?
Answer
  • Time of last dose
  • Patient's diagnosis
  • Time next dose is due
  • Nothing

Question 106

Question
Which additive is used in microbiology blood culture tubes?
Answer
  • EDTA
  • SPS
  • Sodium citrate
  • Sodium fluoride

Question 107

Question
If a patient has 3 orders from 3 different doctors, what should the phlebotomist do?
Answer
  • Draw all of them
  • Draw them an hour apart
  • Check for duplicate orders
  • Toss out 2

Question 108

Question
If a glucose meter is cleaned, it is important to ______.
Answer
  • call the company and ask
  • check controls
  • do nothing
  • ask the patient if their results are okay

Question 109

Question
The HIPAA act requires the Department of Health and Human Services to establish national standards for _____.
Answer
  • improving customer services
  • electronic healthcare transactions
  • food services
  • phlebotomy uniforms

Question 110

Question
If you need to mail a specimen, the label must include ______.
Answer
  • the name and address of the lab
  • warning labels
  • "in case of leaking, send to the CDC"
  • All of the above

Question 111

Question
Which of these may result in a failure to collect a specimen?
Answer
  • Making a fist
  • If the tourniquet is too loose
  • Insufficient needle depth
  • If the patient is taking medication

Question 112

Question
Which of these is a globally-recognized organization that develops and oversees standards and guidelines in lab testing?
Answer
  • NCCLS
  • JCAHO
  • ASCP
  • NCA

Question 113

Question
Which blood test should be protected from the light?
Answer
  • Glucose
  • Hemogram
  • Bilirubin
  • Potassium

Question 114

Question
A patient who donates blood for their own surgery is called a ______ donor.
Answer
  • transfusion
  • autologous
  • blood typing
  • This procedure is not done.

Question 115

Question
Phlebotomists are involved in which phase of testing?
Answer
  • Pre-analytical
  • Analytical
  • Post-analytical
  • None of the above

Question 116

Question
Why is it important to keep a log of all specimens collected?
Answer
  • For pre-analytical QC
  • For analytical QC
  • For post-analytical QC
  • No record is needed

Question 117

Question
If a patient's sleeve is too tight to pull up, what would you do?
Answer
  • Tell them to reschedule
  • Offer them a gown to change into
  • Pull it up anyway
  • Refuse to draw them

Question 118

Question
A centrifuge is used in a clinical laboratory setting to _____.
Answer
  • sort tubes of different colors
  • store tubes at the correct temperatures
  • measure blood oxygen levels
  • separate liquid from the cells in the blood

Question 119

Question
When you send blood tubes by mail in a watertight container, they should be enclosed in a _____.
Answer
  • paper box
  • second durable watertight container
  • secured, certified mail envelope
  • overnight envelope

Question 120

Question
Anticoagulants are used to _____.
Answer
  • fight infection
  • prevent blood from clotting
  • neutralize stomach acid
  • inhibit bacterial growth

Question 121

Question
EMLA is a mixture of lidocaine and prilocaine that can be used to _____.
Answer
  • sterilize a venipuncture site
  • anticoagulate whole blood
  • topically anesthetize a draw site
  • put a phlebotomy patient under

Question 122

Question
When blood seeps into the surrounding tissue during a venipuncture, a _______ can form.
Answer
  • petechiae
  • carbuncle
  • hematoma
  • hemolysis

Question 123

Question
The term that refers to right or wrong conduct is ______.
Answer
  • empathy
  • sympathy
  • ethics
  • rights

Question 124

Question
The purpose of the bleeding time test is to assess ______.
Answer
  • platelet plug formation in the capillaries
  • the pressure of the blood vessels
  • elasticity in the major blood vessels
  • the amount of blockage in the veins

Question 125

Question
Skin punctures may be indicated for use when ______.
Answer
  • the patient is an infant, toddler, or preschooler
  • only a small amount of blood is needed
  • the patient's vein needs to be preserved for IV therapy
  • All of the above

Question 126

Question
If a biohazard spills in the laboratory, a phlebotomist should first try to ______.
Answer
  • call a physician to the site
  • wash his/her hands
  • contain the spill safely
  • pull the fire alarm

Question 127

Question
The federal law that expanded in 2000 to protect the confidentiality of electronically stored health information is abbreviated as _____
Answer
  • CLIA
  • HIPAA
  • OSHA
  • EPA

Question 128

Question
A vein might be prone to collapse if the _______.
Answer
  • vacuum tube is too large for the vein, the syringe plunger is pulled back too quickly, the vacuum tube loses its vacuum, or the tourniquet is too tight
  • vacuum tube is too large for the vein, the syringe plunger is pulled back too quickly, or the vacuum tube loses its vacuum
  • the vacuum tube loses its vacuum or the tourniquet is too tight
  • vacuum tube is too large for the vein or the syringe plunger is pulled back too quickly

Question 129

Question
Before entering designated isolation rooms, phlebotomists should always ______.
Answer
  • put on masks and foot coverings
  • put on gowns and tie them
  • check requirements on signs
  • call a nurse or physician

Question 130

Question
The phase of laboratory testing that refers to test orders, test collection, and test sample preparation are all part of the _____ phase.
Answer
  • exponential
  • pre-analytical
  • testing
  • post-prandial

Question 131

Question
Hemolysis would cause rejection of a sample collected for _______ testing.
Answer
  • potassium
  • pregnancy
  • rubella
  • pyruvate

Question 132

Question
In performing phlebotomy on children, it is best to ____.
Answer
  • talk softly and gently
  • enlist the help of parents
  • tell the truth if asked
  • All of the above

Question 133

Question
One test often used to assess hemostasis before surgery is ____.
Answer
  • blood culture
  • hemoglobin
  • platelet count
  • bleeding time

Question 134

Question
The anticoagulant EDTA works by ______.
Answer
  • binding prothrombin
  • lysis of red blood cells
  • inactivating thrombin
  • binding calcium

Question 135

Question
A tube of blood that arrives in the laboratory without a label must be _____.
Answer
  • labeled by the phlebotomist
  • labeled by the doctor
  • labeled by the nurse
  • rejected automatically

Question 136

Question
The ____ must be followed exactly whenever drawing patient test samples that may be used in a legal proceeding.
Answer
  • chain of command
  • chain of custody
  • standard deviation
  • coefficient of variation

Question 137

Question
Knowing when to collect peak and trough levels is important when drawing ______.
Answer
  • blood cultures
  • therapeutic drugs
  • cortisol levels
  • estrogen levels

Question 138

Question
An appropriate means of communicating with a patient who is profoundly hearing-impaired might include ______.
Answer
  • ignoring the patient entirely
  • talking only to a hearing relative
  • using written communication
  • trying to speak a little louder

Question 139

Question
If a nurse stops to ask you to draw a patient for a post-prandial glucose, what would you need to know?
Answer
  • When they last ate
  • If they have showered
  • When they will eat next
  • If they have therapy scheduled

Question 140

Question
Where would be the best location option for blood collection on this patient?
Answer
  • Hematoma
  • IV in hand
  • Mastectomy
  • 2-finger amputation - 5 years ago

Question 141

Question
How would you confirm diabetes in a patient?
Answer
  • Lipid test
  • A1C
  • Potassium
  • Glucose tolerance

Question 142

Question
While working the lab, you pick up a pen left on the counter and place it in your mouth. What type of exposure would this be?
Answer
  • Strict
  • Vector
  • Contact
  • Vehicle
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